A case of biliary stones and anastomotic biliary stricture after liver transplant treated with the rendez-vous technique and electrokinetic lithotritor

Marta Di Pisa, Mario Traina, Roberto Miraglia, Luigi Maruzzelli, Riccardo Volpes, Salvatore Piazza, Angelo Luca, Bruno Gridelli

Research output: Contribution to journalArticle

Abstract

The paper studies the combined radiologic and endoscopic approach (rendez vous technique) to the treatment of the biliary complications following liver transplant. The "rendez-vous" technique was used with an electrokinetic lithotripter, in the treatment of a biliary anastomotic stricture with multiple biliary stones in a patient who underwent orthotopic liver transplant. In this patient, endoscopic or percutaneous transhepatic management of the biliary complication failed. The combined approach, percutaneous transhepatic and endoscopic treatment (rendez-vous technique) with the use of an electrokinetic lithotritor, was used to solve the biliary stenosis and to remove the stones. Technical success, defined as disappearance of the biliary stenosis and stone removal, was obtained in just one session, which definitively solved the complications. The combined approach of percutaneous transhepatic and endoscopic (rendez-vous technique) treatment, in association with an electrokinetic lithotritor, is a safe and feasible alternative treatment, especially after the failure of endoscopic and/or percutaneous trans-hepatic isolated procedures.

Original languageEnglish
Pages (from-to)2920-2923
Number of pages4
JournalWorld Journal of Gastroenterology
Volume14
Issue number18
DOIs
Publication statusPublished - May 14 2008

Keywords

  • Biliary complications
  • Endoscopic retrograde cholangiopanceatography
  • Liver transplant
  • Percutaneous lithotripsy
  • Percutaneous transhepatic cholangiography

ASJC Scopus subject areas

  • Gastroenterology

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